JCPSLP Vol 21 No 1 2019
Table 2. Referral routes
Service Blanket referral of all admissions
CHAT 5 Other induction screening
Referral form Other
1
No
Yes
No
Yes: Staff referral
No
2
No
Yes
No
Yes: Staff referral Self referral
Yes: Emails from community agencies Discussion with staff
3
No
Yes
No
Yes: Informally via education, casework, self- referral using set referral criteria
Table 3. Referral sources
Family
Community agencies
Other
Service Self-
Prison staff
Education Health
Other agencies within prison
referrals
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
2
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
3
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes: Youth offending services
Table 4 - SLCN Screening
Service
Primary care nurse
Other primary care professional
Mental health nurse
Other mental health professional
Education Prison
Young person
1
No
No
Yes
No
Yes
No
No
2
No
No
Yes
Yes
Yes
No
No
3
No
No
Yes
No
Yes
No
No
Question 7: Who do you accept referrals from? Participants were asked to select all the options which applied to their service from the following list: self-referrals; prison staff; education; health; other agencies within the YOI; family and community agencies. Participants were asked to add other referral options if relevant. Interestingly, despite operating a referral process (as reported in question 6), all three services were inclusive in accepting referrals from a range of agencies, professionals Participants were required to select one choice from: yes, no, and sometimes. Service 2 reported that screening was sometimes conducted by the SLP. In contrast, the SLPs in services 1 and 3 did not complete any screening for SLCN. Question 9: Who completes screening assessments for SLCN? Participants were asked to select all options which applied to their service from the following list: primary care nurse; mental health nurse; other mental health-care professional; other primary health-care professional; education staff; prison staff; and young person. Participants were asked to add if there were any other staff group who also completed screening. and the young people themselves (see Table 3). Question 8: Is screening of SLCN completed by an SLT?
All three services reported that screening for SLCN was completed by mental health professionals and education staff (see Table 4). Question 10: What assessment tools do you use? Participants were asked to list all assessment tools used. The three services reported using a range of speech, language and communication assessments (see Table 5). The Clinical Evaluation of Language Fundamentals 4-UK (CELF 4-UK) (Semel, Wiig, & Secord, 2006) was used in all three services, with the non-standardised Broadmoor Screening Assessment (Bryan, 1998) used in services 1 and 2. Services 1 and 3 used a local assessment developed in-service. Service 2 reported using the widest range of assessment tools including assessments of autism and speech. Question 11: How are interventions provided? Participants were asked to indicate on a Likert scale (1–10) whether intervention was predominantly individually delivered or at a group level. In each service, interventions were provided however the method of delivery differed (see Table 6). The predominant model of SLP intervention was individual in services 2 and 3. Service 1’s intervention was divided equally between individual and group delivery. Question 12: What SLT interventions do you offer? Participants were asked to list as many options as applicable (shown in Table 7). Participants were asked to
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JCPSLP Volume 21, Number 1 2019
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